MICHELLE WALLACE PT
NPI 1477808947
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Tenafly, NJ

Q: What is Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1477808947. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Michelle Wallace's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Wallace was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2012

75 NORMAN PL, TENAFLY, NJ 07670(732) 761-0088 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michelle Wallace Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE WALLACE PT (NPI 1477808947) is an individual pediatric rehabilitation medicine provider in Tenafly, New Jersey, licensed in New Jersey (40QA00591600) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1477808947

Entity TypeIndividualFemale

Primary Taxonomy2081P0010X

Provider Legal NameMICHELLE WALLACECredential: PT

Location Address75 NORMAN PLTenafly, NJ 07670-2537

Mailing Address75 Norman PlTenafly, NJ 07670-2537

Phone(732) 761-0088

Sole ProprietorYes

Enumeration DateJuly 19, 2012

✔ NPI 1477808947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in NJ · 40QA00591600

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

75 NORMAN PL, Tenafly, NJ 07670

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1477808947. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Michelle Wallace located?

Michelle Wallace practices at 75 Norman Pl, Tenafly, NJ 07670. The listed phone number is (732) 761-0088.

What is Michelle Wallace's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

When was this NPI record last updated?

The NPPES record for Michelle Wallace was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.